Organization Active NPI

Soulh Kiki S Corner Corp

  • Social Worker
  • Woodland Hills, CA
National Provider Identifier
1205680113
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SOULH KIKI S CORNER CORP
Practice address
22801 Ventura Blvd Ste 301
Woodland Hills, CA 91364-1222
Phone
(805) 222-6371
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiana Naimi, LCSWNPI 1417474610
Title
Owner
Phone
(310) 854-9987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

22801 Ventura Blvd Ste 301
Woodland Hills, CA 91364-1222

Mailing address

17809 Halsted St Unit 316
Northridge, CA 91325-2069
Phone (805) 222-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603001600 CA Part B Supplier - Clinic/Group Practice 6507308863 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

22801 Ventura Blvd
Ste 301
Woodland Hills, CA 91364
Phone (310) 854-9987

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1205680113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17809 HALSTED ST UNIT 316",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913252069",
            "telephone_number": "805-222-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22801 VENTURA BLVD STE 301",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641222",
            "telephone_number": "805-222-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULH KIKI S CORNER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "NAIMI",
        "authorized_official_first_name": "KIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-854-9987",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.